Guarantee Application Form
Please fill in this form ONE TIME ONLY, any omitted information/ document you can ask help from your representative.

With immediate effect, ALL current Mutian users should register the Mutian Guarantee program to the Customer Service Team on or before 7th Apr, 2020. Please submit as much as information you can provide. This form is for Mutian Guarantee Application. We will review the guarantee eligibility for every kitty and contact you 1-2weeks after the deadline if you are eligible to be covered in the Mutian Guarantee Program or not.

For all who have not apply the Guarantee program before the deadline (7thApr2020) will not be covered in the Guarantee program.

New Mutian user after 1st Apr,20 should apply the Mutian Guarantee program within 10 days once you start the treatment.

*** Mutian must be the only brand you used for FIP treatment ***


After filling this form, please attach belows document, specify your name and send to mutianvito@gmail.com
1. Send the kitty’s eyes picture and a videos showing your kitty runs & jumps BEFORE the treatment. If you cannot provide it, please state a reason.
2. Send all CBC reports you have before and after the treatment.
3. Provide a weight and Dose adjustment history for your kitty during the treatment.
4. Provide the purchase history or evidence that showing your medication is getting from Mutian online shop or from the representative.
5. Weight and dosage adjustment record during the treatment.

For any enquiries, please contact your Reps or send email to mutianvito@gmail.com
and you can add https://www.facebook.com/vito.lau.140 for further information

All Mutian users MUST follow the guarantee rule during the whole treatment.

If these terms and conditions are met then we can provide free Mutian for your cat. The GUARANTEE begins at day 85 (day112 for Ocular/Neuro FIP) and will be valid for 6 months.
Mutian reserves the rights for final decision.
Please read the guarantee rules before applying the guarantee. Do you agree to follow the Guarantee rule and the instruction? https://www.mutian.com/guarantee *
If these terms and conditions are met then we can provide free Mutian for your cat, until it is fully recovered. The GUARANTEE begins at day 85(day112 for Ocular/Neuro FIP) and will be valid for 6 months.
Who is your representative?
If you bought from website/ website live chatroom, please state it: website/ chatroom
Your name *
Kitty's name
Type of FIP
Clear selection
Ocular symptom?
For any Ocular symptoms occur before the treatment, please click yes. Any uncertain, please click the "Other" and describe it.
Clear selection
Neurological symptom?
For any Neurological symptoms occur before the treatment, please click yes. Any uncertain, please click the "Other" and describe it.
Clear selection
Date of birth
DD/MM/YYYY
When was it diagnosed with FIP?
DD/MM/YYYY
Did you use any FIP Treatment other than Mutian ?
If yes, please state the date, period, dosage and the brand.
Treatment start date
The date of the first dose
MM
/
DD
/
YYYY
Weight before treatment
please specify the unit of weight
Dosage when treatment start
please specify the relevant unit. For capsule, in mg. For injection, in ml.
Current weight
please specify the unit of weight
Current Dosage
please specify the relevant unit. For capsule, in mg. For injection, in ml.
Gender
Gender of kitty
Clear selection
Breed
Medical history
Do you have the FeLv and FIV test done? What is the result?
Are you giving rx vitamins?
Please specify the type of Rx Vitamins
Any other supplement you are giving?
If you are not giving Rx vitamin, also state what kind of vitamins you are using here.
Any other medicine you are giving?
How is your kitties appetite now?
How is your kitties energy level?
Your purchase history on Mutian
Purchase date(DD/MM/YY); no. of Capsule/ vials; purchase channel; (e.g. 20/2/20;1box200mg+3vials; online store; 30/2/20; 5caps50mg; from Reps)
Where are you based?
How can we contact you?
leave your email: XXXXX@xxxx.com or facebook name (www.facebook.com/xxxxxxxx) here, or Whatsapp (+X XXXXXXXX)
Anything you would like to ask or you want to mention
After filling this form, please attach Bloodwork,ultraound,Xray, Eye picture, running jumping video, specify your name and send to mutianvito@gmail.com *
Your cat will not be eligible for the guarantee program if you do not send the document to the above email.
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